Abstract

MACEDO, Catarina Góis et al. Complications of totally implantable venous access port systems: A clinical case. Angiol Cir Vasc [online]. 2015, vol.11, n.1, pp.21-25. ISSN 1646-706X.

The utilization of totally implantable venous access port systems has been growing, along with its importance, given that it's a frequently used technique to face the increasing occurrence of tumors. Given so, it's important to understand its complications and how to approach them. The most frequent technique is the percutaneous catheterization. This technique is used to gain access to the central venous circulation and has become increasingly important in Oncology, as a way to infuse chemotherapy. One of the many possible complications, and one that can lead to severe consequences, is the arterial lesion. In our clinical case, we will analyze the arterial complications associated with this technique, and highlight the different therapeutics. Our case consists of a 42 year-old woman, with a mediastinal lymphoma, who was submitted to a totally implantable venous catheter access port, in the femoral vein, that complicated into a transfixive lesion of the femoral artery. Although the introduction of these catheters in the femoral vein occurs rarely, this case is interesting given that this kind of lesion has a good probability of occurring in other vascular territories.

Keywords : Totally implantable venous access port systems; Central venous access; Complications; Arterial lesions.

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